Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.00 / $128.00 / $128.00	Facility	26	$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.59 / $475.00 / $1,036.33	Professional		$338.59	$475.00	$1,036.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.90 / $154.00 / $322.00	Professional	26	$70.90	$154.00	$322.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $267.69 / $335.00 / $813.18	Professional	TC	$267.69	$335.00	$813.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $783.03 / $1,271.63	Professional		$319.45	$783.03	$1,271.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.89 / $98.82 / $163.49	Professional	26	$67.89	$98.82	$163.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $251.56 / $662.56 / $1,153.27	Professional	TC	$251.56	$662.56	$1,153.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $213.48 / $308.19	Professional		$53.14	$213.48	$308.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $669.98 / $669.98 / $669.98	Facility	26	$669.98	$669.98	$669.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $504.64 / $588.91 / $1,195.36	Professional		$504.64	$588.91	$1,195.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $103.11 / $120.33 / $193.25	Professional	26	$103.11	$120.33	$193.25
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $401.54 / $468.59 / $1,002.12	Professional	TC	$401.54	$468.59	$1,002.12
United Facility/Professional Professional Modifier Low / Median / High Price $320.88 / $566.25 / $899.57	Professional		$320.88	$566.25	$899.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.73 / $78.06 / $151.91	Professional	26	$64.73	$78.06	$151.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.14 / $452.02 / $757.25	Professional	TC	$256.14	$452.02	$757.25